Deficiency Records for Concordia Lutheran Health and Human Care
Updated as of April 01, 2024
A list of the most recent deficiencies for Concordia Lutheran Health and Human Care. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-10-20 | 2023-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-11-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-20 | 2023-11-24 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-10-20 | 2023-11-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-20 | 2023-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-20 | 2023-11-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-10-19 | 2023-11-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-19 | 2023-11-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-20 | 2022-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-20 | 2022-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-20 | 2022-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-20 | 2022-11-29 | N |
| Meet other general requirements. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-22 | 2021-12-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-22 | 2021-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-22 | 2021-12-06 | N |
| Dispose of garbage and refuse properly. | Health | 2021-10-22 | 2021-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-12-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-25 | 2021-11-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-25 | 2021-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-25 | 2021-11-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | Not Fixed | Y |
